Beauty Guide - Skin Care

BEAUTY GUIDE Skin care
First Edition V1.12.10
Introduction
No one can deny that to be professional community pharmacist we must be able to deal with any customer need in a professional manner and this require core competencies like knowledge , skills and attitude. The knowledge represent the pushing power to us and skills represent the steering force to our knowledge to achieve our goal and the attitude represent( our welling to do) make harmony between our knowledge and skills. We need to gain all these capabilities to reach peak performance at the field of community pharmacy to be really pioneers in helping communities live a healthier and more beautiful life and Regarding to this bright vision our company insist on establishing training and development department . All of us know that community pharmacists area of concern mainly related to pharma , non pharma and administrative knowledge beside selling skills and people skills We will deal with non pharma part at this beauty guide unfortunately we neither study beauty knowledge at our faculty nor practice beauty care before engaging NMC and suddenly we face a huge market of beauty care products and we must be professional at these products .from here we realize the importance of beginning of non pharma category
How to use this book ?
Beauty guide classified into several series. Each series will discuss certain beauty care topic . regarding the following Beauty knowledge ( the basic knowledge of the topic ) Product knowledge ( products related to that topic and available at NMC ) Customer and patient education ( information we could say to the customer or the patient for better management of case ) this series will discuss skin care
Training and development department
None pharma planogram
Non pharma category
Cosmeceuticals
Cosmetics
Health care
Baby care
Equpment
Skin care
Hair care
Foot care
Lady care
Hand care
Body care
Men care
Oral care
Nutration
Diapers
Accessories
Necessary
Wellfare
Wrinkle
Hair loss
Cracked heel
Bust care
Hand moisturizer
Body odour control
Shaving machines
Dental care
Glucometers
Epilators
Whitening
Oily hair
Corn and callus
Body hair care
Nail care
Body accessories
Shaving accessories
Gingival care
Blood pressure meter
Hair care devices
Peeling
Dry hair
Athletic foot
Make up accessories
Hand accessories
Bath care
Physical birh control
Orthodentic
Neubilizer
Sterilizers
Sun care
Dandruff
Foot accessories
Intimate care
Hand ageing
Optical care
Medical appliance
Dental care apparatus
Cleansing
Splitted hair
Diabetic foot
Nursing care
Food supplement
Scales
Cellulite
Fine hair
Varicose vein care
Hair styling
Foot spa
Stretch mark
Damaged hair
Hair straightning
Humdifiers
Moisturizati on
Senestive scalp
Hair nutration
Acne
Hair coloration
Cosmeceutical s
What are Cosmeceuticals ?
Cosmeceuticals represent a marriage between cosmetics and pharmaceuticals. Like cosmetics they are topically applied to improve appearance. Like drugs they contains ingredients that influence biological functions of the skin.
They represent the fastest growing segment of the natural personal care industry.
Factors Affecting Selection Of The Proper Cosmeceutical product

Ingredients. Producers reputation Costumers feedback.. Pharmacists feedback. Dermatologists recommendations. Internet related Authenticated sites.
Cosmeceutical planogram
Cosmeceuticals
Skin care
Hair care
Foot care
Lady care
Hand care
Body care
Men care
Hair loss
Cracked heel
Bust care
Hand moisturizer
Body odour control
Shaving machines
Routine steps
Skin conditions
Oily hair Corn and callus Body hair care Nail care Body accessories Shaving accessories
Cleansing Peeling Moisturization Sun care
Hyperpigmintation
Dry hair Athletic foot Make up accessories Hand accessories Bath care Physical birh control
Wrinkle
Dandruff Foot accessories Intimate care Hand ageing
Cellulite
Splitted hair Diabetic foot Nursing care
Stretch mark
Fine hair Varicose vein care Hair styling
Acne
Damaged hair Hair straightning
Senestive scalp
Hair nutration
Hair coloration
Skin care planogram
Skin care
Routine care Skin conditions
Cleansing
Hyperpigmintation
Moisturization
Ageing
Exfoliation
Cellulite
Sun care
Stretch mark
Acne
The skin
Definition:
The skin is the body's outer covering. It protects us against heat and light, injury, and infection. It regulates body temperature and stores water, fat, and vitamin D. Weighing about 6 pounds, the skin is the body's largest organ.
The skin Reflect :

Age Heath Life style Image
Skin structure
Skin consists of 3 layers
Epidermis Dermis subcutaneous hypodermis The outer most layers is stratum corneum which consists of dead cells and water .
Skin structure diagram
Oily skin Dry skin
tends to shiny with enlarged pores, and is prone to blackheads & blemishes. You might experience some tightness. Tend to feels tight, especially after cleansing, & liable to have fine wrinkles, flaking & red patches. In colored women, skin may appear ashy or dull from dead skin build-up. This skin type has medium pores, a smooth & even texture, good circulation, healthy colour, may tend toward dryness on the cheeks while being oily in the t-zone.
Combination/normal
Sensitive skin
tends to be thin, delicate with fine pores. It flushes easily, , frequently allergic & can be rashy.
Each person's skin is unique and is a natural combination of three factors:

1. Water content, which is responsible for the skin's suppleness and comfort. 2. Lipid content, which is responsible for nutrition and softness. 3. Level of sensitivity, which is responsible for the skin's resistance to and tolerance of environmental factors.
10
Normal skin
This skin type has medium pores ( invisible), a smooth & even texture, good circulation and no greasy patches or flaky areas, healthy colour and it has optimal content of water and lipid Normal skin has an adequate amount of water and lipids and a moderate sensitivity level
11
Dry skin
Tend to feels tight, especially after cleansing, & liable to have fine wrinkles, flaking & red patches. In women of colour, skin may appear ashy or dull from dead skin build-up.
12
Oily skin
tends to be shiny with enlarged pores, and is prone to blackheads & blemishes. the oil producing sebaceous glands are overactive and produce more oil than is needed. The oil oozes and gives the skin a greasy shine. The pores are enlarged and the skin has a coarse look
Causes of Oily Skin

Heredity Diet Hormone levels Pregnancy Birth control pills Cosmetics you use Humidity and hot weather
13
Combination skin
This skin type has medium pores, a smooth & even texture, good circulation, healthy colour, may tend toward dryness on the cheeks while being oily in the t-zone.
14
Skin care planogram
Skin care
Cleansing
Hyperpigm intation
Moisturization
Ageing
Exfoliation
Cellulite
Sun care
Stretch m ark
Acne
15
Skin care Care steps
Cleansing
Chapter objectives : By the end of this chapter we will be able to know the following :
Facial cleansing benefits Proper cleansing steps Cleansers classification Sales benefit of cleansing concept Facial cleansing patient education Product knowledge of cleansers
16
Cleansing
Benefits
Remove dirts,makeup,grime and contaminants. Clears the way for the penetration of the active ingredients you may want to apply afterwards.
Frequency : for most people twice daily. Precaution : Knowing the skin type is critical in choosing the proper cleanser.
Sales benefit
The cleansing stage considered as main line of treatment and must be performed before application of any product in case of Hyperpigmintation Wrinkle Moisturization Acne Sun protection
As it prepares the skin to absorb the product you may want to apply afterward increasing its efficacy
17
Proper facial cleansing steps
( Wet cleansing ) Rinse with tape water ( Dry cleansing ) Use a piece of cotton for application
Notice
Cleansing and toning is a must in case of oily skin For other types of skin we could use wet or dry cleanser followed by cleansing toner as optional step Toning step is done to Tighten the pores Remove the residuals of cleansers Cooling sensation
18
Choosing The Proper cleanser
19
Cleansers classification
20
Why the eye zone need special products ?!! The skin around eye has its own traits:
1. It has virtually no sebaceous glands. 2. It is much thinner and more sensitive than other facial skin. 3. It overlies a particularly dense capillary network. 4. Has minimal fat badding. 5. Stressed by frequent eye movement and squinting. Eye makeup products (Mascaras and eye shadows ) are of wide variety in their composition ,( water-based , solvent-based , petrolatum distillates , water proof formulas ) So,they need special cleansers of mixed properties.
Customer education
1. Pour a small amount of cleanser in your palm. 2. Gently run the cleanser all over you face with your finger tips for 20-25 seconds. 3. Splash running warm water (lukewarm water ) in your face several times to rinse off the cleanser until there is no more residue on your skin, Dont direct the stream onto your face. 4. Take a clean towel and gently pat your face, make sure it remains moist to prepare your face for the following step. 5. Cleansers may be washed up by water or toner or wiped off by a cotton or cloth according to the cleansers type.
Sales gate
Facial cleansers not suitable for eye zone cleansing as it is irritant ( not ophthalmogically tested ) So we recommend using special formula for eye zone cleaning ( eye makeup removal formulas )
21
Cleansing products available at NMC product

RoC Enydrial dermatological bar
Ingredient
soap free cleansing agents
Glycerin Panthenol Beta Sitosterol
Against dehydration Against inflammation ,irritation No fragrance , hypoallergenic , non comedogenic, moisturizing, soap free Without over drying effect reduce discomfort sensation for dry skin Against dehydration Against inflammation ,irritation No fragrance , hypoallergenic , non comedogenic, moisturizing, soap free Without over drying effect
Features
Suitable for skin dryness and sensitive skin suitable in hajj& ommra seasons moisturizing effect suitable in skin dryness diseases with high tolerability
Benefits
Picture
RoC Enydrial Face cleansing lotion
Soap free cleansing agents glycerin Emollient agents Panthenol
RoC Enydrial foaming gel
soap free cleansing agents
Glycerin Panthenol Beta Sitosterol
Against dehydration Against inflammation ,irritation No fragrance , hypoallergenic , non comedogenic, moisturizing, soap free Without over drying effect
Ideal make up remover for both eye &face even water proof make up for dry skin, just with cotton pads no water needed Suitable for skin dryness and sensitive skin suitable in hajj& ommra seasons moisturizing effect suitable in skin dryness diseases with high tolerability Same like soap but in gel form according to consumer life style
22
product
RoC Hydra 3in 1
Ingredient
Triple action Cleanser Toner Moisturizer ( Clarify, tightening the pores and moisturize the skin ) Deeply clean the pores, remove oils prevent formation of spots & black heads
Features
3 uses in just one product ( one step) provide time saving ,economic & easy to use with cotton pads Make up removal Daily care for acne prone skin and oily skin Potentiate the action of upward applied medication in case of acne
Benefits
Picture
RoC Purif-ac cleanser
1%salyci lic acid)
RoC Calmance cleansing lotion
milky cleanser with anti inflammatory ,itching and redness effect.by cotton pads
suitable for cleansing after sun burn, leaser ,chemical peeling and any skin problems having redness ( sensitive skin ) Used as water proof make up remover suitable for the delicate eye contour
RoC eye makeup remover
Remove impurities and make up of eye
Roc skin toner
Remove deep impurities Tighten the pores Remove residuals of cleansers
give healthy clean skin
23
product
Ingredient
AHA Zinc lactate
EXFOLIAC Foaming gel 200 ML
Control sebum production purify the skin and eliminate impurities
Features
prepare the skin for care mask blemishes moisturize matify complexion all day long
Benefits
Picture
DUCRAY Keracnyl Cleansing Gel 200ml
Glycolic acid 4% Zinc salicylate 0.5% Sabal Glycerin
Keratolytic action (AHA+BHA) Bactericidal effect on acne Sebum reduction Hydrating action
Cleanse and clears the shiny skin Suitable for acne prone skin and oily skin
-(Hydrolyzed Oat Protein) Moisturizing Botanical Film Forming Conditioning Agent -(Saccharum Officinarum) Plant Source of Alpha Hydroxy Acid, has an excellent Exfoliating action -(Hamamelis Virginiana) An antioxidant form of retinol that helps increase epidermal thickness and stimulate epidermal proteins to keep skin soft and plump
-Detoxification, soothing and Protection of the skin -Washes away makeup, dirt and other impurities. Leaves skin feeling refreshed and silky smooth -Good for all skin Types - A detergent- and formaldehyde-free cleanser that gently purges dirt, makeup, and environmental pollutants from the skin without dehydration or irritation
24
ORANGE DAILY Daily cleanser
Oat Protein Witch Hazel Molasses Vitamin C
product
Ingredient
BIODERMA Atoderm soap
Mild washing base, SLS free High rinsing power Biconcave in shapemelt slowly big volume Lasting for longer duration Perfume free
Features
Moisturizing ,soothing and Anti septic soap For face and body use (Adults, children and babies ) Not irritating patients with atopic skin better patient acceptance. Suitable for atopic and dry skin patient Could be used in hajj Suitable cleanser For oily and Combination skin and for acne prone skin and for acne patients under treatment Excellent tolerability Suitable for men with beard follliculitis Fights 100% of spots Clinically tested / clinically proven Clears existing spots / Helps prevent spots Visibly clearer skin Visibly reduces spot size Visibly reduces spot redness Dermatologically tested Acceptable tolerance Without over drying
Benefits
Picture
BIODERMA Sebium foaming gel
Soothing, seboregulating, purifying actions Excellent ocular and skin tolerance. For Ladies: could be used as Make up remover For Men : could be used as Shaving foam
CLEARASIL Daily face wash
2% salicylic acid 2% sorbitol Glycerin Areauma tsTM
It has Keratolytic and purifying action Moisturizer Soothing and calming effect decreasing PGE2 and increasing endogenous endorphin Removing impurities , dirt and contaminants Preparing the skin to accept and absorb upward application of medication
25
product
Ingredient
2% salicylic acid 2% sorbitol Glycerin Areauma tsTM
Features
It has Keratolytic and purifying action Moisturizer Soothing and calming effect decreasing PGE2 and increasing endogenous endorphin Tightening pores after cleansing Removing the residuals of cleansers
Benefits
Fights 100% of spots Clinically tested / clinically proven Clears existing spots / Helps prevent spots Visibly clearer skin Visibly reduces spot size Visibly reduces spot redness Dermatologically tested Acceptable tolerance Without over drying Adapts to varying needs of skin Balances drier and oilier areas of the skin Removes impurities leaving skin soft and smooth Suitable for normal, oily and combination skin
Picture
CLEARASIL Deep pore treatment toner ( Ultra lotion )
OLAY Skin Adapt Face wash
Sodium Lauroam phoacetat e, Sodium Myristoy l Sarcosina te, Sodium Tridecyl Sulfate, Salicylic Acid, Sorbitol, Glycerin, Sodium Chloride,
Controls sebum production purifies the skin and eliminates impurities
26
product
Ingredient
Glycerin Paraffinu m Liquidu m, PEG 6 Stearate, PEG 30 Glyceryl Stearate, niacinam ide, Cymbop ogon Citratu Salicylic Acid, Glycerin, Pantheno l, Sodium Dehydro acetate, Salvia Officinali s (Sage exctract), Camelli
OLAY Skin Adapt milk
Controls sebum production purifies the skin pores and eliminates impurities
Features
Adapts to varying needs of skin Balances drier and oilier areas of the skin Removes impurities leaving skin soft and smooth Deeply cleanses oilier areas while hydrating dry areas Suitable for normal, oily and combination skin Adapts to varying needs of skin Balances drier and oilier areas of the skin Removes impurities leaving skin soft and smooth and the pores tight Suitable for normal, oily and combination skin Removes impurities leaving skin soft and smooth Moisturize the skin Facilitate the absorption of upward applied creams Suitable for normal and dry skin
Benefits
Picture
OLAY Skin Adapt toner
Tightening pores after cleansing Removing the residuals of cleansers purifies the skin pores and eliminates impurities
OLAY Gentle Cleanser Face wash
Sodium Lauroam phoacetat e, PEG-200 Hydroge nated Glyceryl palmate, sorbitol, Glycerin aloe barbaden sis , cucumis sativitus
gentle on skin for everyday cleansing. A formulation of caring cleansing ingredients, containing extracts of Aloe and cucumber which lifts away dirt and make up to effectively cleanser and refresh the skin
27
product
Ingredient
OLAY Gentle Cleanser eye makeup remover
``OLAY Total effect facial wash
Sodium Lauroam phoacetat e , PEG200 Hydroge nated Glyceryl palmate, Sorbitol glycerin, aloe barbaden sis , cucumis sativitus Dimethic on Pantheno l Niacinam ide Glycerin Vitamin B5
Gently cleanses , effectively removes waterproof makeup , perfumed and color free
Features
Non irritant to eye zone Ophthalmologic ally tested Suitable for normal and dry skin
Benefits
Picture
Removing impurities , dirt and contaminants Preparing the skin to accept and absorb upward application of medication
Enhance the efficacy of upward applied total effect cream Stimulates cell renewal
28
Skin care
Care steps
Exfoliation
Chapter objectives By the end of this chapter we must be able to know the following
Benefits of exfoliation process Types of exfoliation Exfoliation patient education Glycolic acids actions and uses Product knowledge of exfoliators Facial masks types Facial masks usage instructions Sales benefits of exfoliation knowledge
29
Exfoliation
Benefits:
Removal of dead cells Renewal of cells Skin smoothing Collagen stimulation Whitening
30
Exfoliation types
31
Physical ( mechanical ) exfoliation
It is done by Scrub It depend on the friction between the micro beads and the skin Exfoliating Mask ( peel off mask) Suitable for dull skin Boost of radiance deep down clean face, tighten pores, or brighten and exfoliate the face. provides instant, intensive smoothing benefits. dissolves dull and dry skin creating a complexion that is fresh, clear, smooth, and bright.
Remember : Facial masks
Action
Masks have a deep cleansing action on the skin, removing impurities, wastes and dead skin cells. They also keep the pores free of clogged oil and prevent many related problems ( White heads , blackheads ). The removal of dead cells helps to improve the skin's ability to absorb products, making moisturization much more effective. The skin's cell renewal function also improved. facial masks can deep down clean face, tighten pores, or brighten and exfoliate and hydrate face.
32
Types
Facial masks
Cleansing mask
Moisturizing mask
Exfoliating mask
Cleansing mask
Often contain clay or fruit, absorb excess oils. The enzymes in fruits such as papaya have a deep-cleansing action and leave the skin glowing. Better suited to oily and some combination skins Great for removing excess oil, deep cleaning Natural clay is a great detoxifying treatment for face without leaving skin extra dry. Most clay masks work fine with sensitive skin. also help to unclog the pores and remove dead skin cells. Thus, they discourage the formation of blackheads, refine the pores and improve the texture of the skin
Moisturizing mask
Suitable for dry skin rejuvenate and plump the skin Could be used as firming mask as it boost skins moisture content which will reduce fine lines caused by skins dehydration. This will give the appearance of a more youthful and firmer face.
Exfoliating mask
Mentioned before
33
Masks usage instructions Clay type
Cleans the face first then Pat your face dry. Then squeeze some of the mask into your hand. Apply it with soft circular motion to help it get into the various pores, nooks and crannies of your face. You want it to be thick enough that every pore gets some goo into it, but thin enough so that the whole mask can dry and therefore lift away that dirt and oil. A good rule of thumb is that you want to put on just enough so that you can't see the skin any more - but so there is not a 'thickness' to the mask It should be like a layer of aluminum foil pressed down on your skin, as far as a thickness similarity goes. Solid but thin. Let the mask dry. Each mask will have on it a recommendation of how long this takes, usually from 10 minutes to 30 minutes. You want the mask to be fully dry so it has sucked all of the impurities away from your pores, but you also don't want to sit there for hours! , use warm water and a washcloth to wash away the mask. This again keeps the pores open so that any lingering clays are cleaned out of them, and the washcloth helps to get that clay off your face. rinse with cold water (The cold water will close the pores back up again, helping them keep future grime from entering )
Peel off type
Use your fingers or a cotton ball to apply a fairly thick layer to your face and neck. Use care around your eyes. Let the mask dry completely. Peel off the face mask ( remove it as one layer ) and rinse with plain cool wate
34
Chemical exfoliation
Is done by different ingredient like ,
Tretinoin , Iso tretinoin , Adapalene , Azelic acid and Glycolic acids ( Alpha Hydroxy acids , Poly Hydroxy acids and Omega Hydroxy acids) Exfoliation sales benefits: Line of treatment of wrinkles as it collagen stimulant Line of treatment of Hyperpigmintation as it Keratoactive( removal of skin surface layer with accumulated melanin ) Treatment of non inflamed acne as it has Seboregulatory and anti infective effect Moisturizer
35
Customer education
For physical exfoliators
Gentle rubbing Prober choice for micro beads size ( face , body , once a week , once daily ) Thin layer once a day at night with gradual increasing for contact time
For chemical exfoliators
Dont exceed 5% for face and 10% for body in case of OTC Using sun protection As usual with all new products application sensitivity test must be done before usage
36
Exfoliation products available at NMC
Product
RoC Purif-ac exfoliating lotion
Ingredient
Salicylic acid(2%) sepicontrol A 5 Cedar wood Portulaca Alantoin and bisabolol copper & zinc
Features
Keratolytic action Seboregulatory action Comedolitique Anti bacterial & fungus action Anti pruritic Anti inflammatory Reinforce immunity defense soothing action Repairing action daily without need of water especially for black heads Stimulate cell renewal Remove dead skin Reduce blemishes Remove impurities
Purifies & tighten the pores and eliminates black heads Reduce imperfections & un clog the pores Reduce inflammation & Soothes redness & inflammation Healing of marks left by spots
Benefits
Picture
EXFOLIAC Facial scrub 50 ml
AHA Smooth exfoliating micro bisabolol
Suitable for those with oily skin for weekly care Scar removal Non inflamed acne care Soothing skin
Bio skincare
Apricot Facial and Body Scrub
Finely crushed apricot kernel
Remove all traces of dead skin cells, pimples, open blocked pores.
Cleanse, invigorate and moisture skin.
37
Product
Bio skincare
Blueberry & Almond Body Scrub
Ingredient
Finely ground blueberry & almond
Features
Reduce the appearance of fine lines, wrinkles and crows feet. helps with dry patches and flaky skin.
Effective in wrinkle treatment
Benefits
Picture
Bio skin care

Olive Face & Body Scrub
Natural Olives
Helps to maintain elasticity of skin, Promote a smooth, radiant complexion, Heal dry, brittle nails and soften cuticles. Rich in antioxidants, help maintain a healthy appearance
Moisten the skin Useful in stretch mark
Fresh Strawberries
Helps to promote anti-aging.
Bio skin care

Strawberry Face & Body Scrub
CLEARASIL Acne clearing scrub
2% salicylic acid 3% glycerin micro beads AreaumatsT M
It has chemical and mechanical Keratolytic action thinning the keratinized outer most epidermal layer Soothing and calming effect as it decrease PGE2 and increase endogenous endorphins
Fights 100% of spots Clinically tested / clinically proven Clears existing spots / Helps prevent spots Visibly clearer skin Visibly reduces spot size Visibly reduces spot redness Dermatologically tested Acceptable tolerance Without over drying
38
Product
Ingredient

OLAY Total effect mask
Dimethicon Panthenol Niacinamid Glycerin Vitamin B5 Vitamin E Titanium dioxid Zinc oxide Vitamin C
Features
Vitamin B3 Energizes skin cell Pro Vit B5: Stimulates cell renewal Vitamin C: Enhances skin metabolism and helps reduce pigmentation spots (whitening attributes) Vitamin E: Anti-oxidant which fights free radicals, key in fighting skin ageing Mineral Spring extract: zinc oxide (Protects Skin) Sodium (moisturizes), and magnesium ( strengthens the skin)
Fight 7 signs of ageing Fine lines . Wrinkles. Age spots. Rough texture. Dry, scaly skin .Uneven skin tone. Deep pores.
Benefits
Picture
39
Skin care
Care steps
Moisturization Chapter objectives

By the end of this chapter we must be able to know the following
Symptoms of skin dryness Causes of skin dryness Types of skin dryness Treatment plan Skin dryness patient education Moisturizers product knowledge Sales benefit of moisturization knowledge
40
Moisturization
This step is an important step to keep skin smooth and radiant with healthy appearance . Considered as first Prophylactic line against wrinkles. Essential step for normal and dry skin.
Dry skin defination :

Dry skin is incapable to Retain its water content , leading to a serious lack of water or to produce a sufficient amount of lipids, leading to a serious lack of lipids
Symptoms of skin dryness:

tightness after bathing Itching Redness Roughness Deep fissures Scaling Loss of radiance Fine lines and fine pores Premature ageing
Causes of skin dryness
Aging :-the outer most layer of the skin loses its capacity to retain water inside the skin specially over 40 years age due to less intracellular lipids content Lack of nutrients :- specially omega-3 fatty acid ,zinc and vitamin A which affect the integrity of the skin Chemicals:-like deodorants shampoos ,and soaps (antibacterial) Drinks :-like alcohol and caffeine Drugs :-like diuretics ,antihistaminic ,isotretenoins Diseases:- like sever diarrhea ,vomiting ,high fever ,and sweating end stages of renal disorders ,billary disorders ,diabetes ,hyper parathyroidism , Hodgkin disease ,post burning and surgical scars destroy the skin and thin the epidermis Habits:-like using worm water during bathing ,heating woods ,burning stoves ,and space heaters
41
Bathing :-repeated bathing more than one time per day may cause skin dryness Radiations :-areas exposed to radiation therapies Weather:- changes weather in winter where low humidity During thyroid treatment:- and weight loss skin may become dried
In females during menopause:- decline in estrogen hormone may cause dryness and some times excess oil How skin becomes dry Stratum corneum has water content of about 30%and when these content become less than 10% the outer most layer becomes dry, scaly and rough Water lost through evaporation (transe epidermal water loss TEWL) under low humidity conditions Stratum corneum has lipid layer when it has deteriorated . the skin lose its lipid content
42
Skin dryness treatment plan
Medication
Ideal dryness treatment

Patient education
43
Moisturization planogram
Medication :Moisturization planogram
So, Moisturizers acts mainly by 2 way Rehydration and water retention

Restoring lipid functional barrier
44
Patient education
once day bath or shower is enough for keeping hygiene (to decrease oil loss )
do not use hard drying soap but use gentle skin soap gently pat or blot your skin after bathing to dry your skin do not use wool and irritant materials in clothing use cotton and silk clothes to allow your skin breath use omega 3 fatty acid to help and maintain your skin integrity by eating more fishes Eat green leaves and fruits like (apricot ,strawberries ,soybeans ,papaya and orange) Avoid excess exposure to sun drink plenty water and herbal tea
45
Moisturization products available at NMC Product

Mineral oils Glycerin Vegetal oils Alantoin, Panthenol Bisabolol Omega3&omega
Ingredient
Protecting action Nourishing action Soothing action Repairing action(precursor of ceramide in the skin) Non greasy, Non comedogenic,fra grance free Protecting action Nourishing action Soothing action Repairing action(precursor of ceramide in the skin) Non greasy, Non comedogenic,fra grance free
Feature
RoC Enydrial face extra emollient
Protect skin surface from dehydration Restore hydration inside the skin Reduce itching & tightening Restructuring of skin..for atopic skin Highly accepted , safe, non irritant Protect skin surface from dehydration Restore hydration inside the skin Reduce itching & tightening Restructuring of skin..for atopic skin Highly accepted , safe, non irritant Economic use Suitable for lip dryness either during sunny or cold weather Relieving inflammation , itching due to dryness
Benefit
Image
RoC Enydrial body lotion
Mineral oils Glycerin vegetal oils Alantoin Panthenol Bisabolol
ROC Enydrial lip care
Emollients Vit E UVB filters anti inflammatory ( bisabolol )
Very moisturizing active ingredients Protect against external aggressions Repairing & soothing action
46
Product
Ingredient
Glycerin Hydrovance Omega 3 and omega 6 Fever few vit E Sun screen filter and sun spheres bisabolol-vit B5)
Feature
Attract water into the skin (reservoir effect) Reinforce the skin barrier which creates an occlusion effect at the skins surface to reduce water evaporation antioxidant by capture free radicals from the skin Protect the skin from the damage effect of the sun Soothing agents
Benefit
Association of 3 moisturizing agents strengthening the biological hydration mechanisms Decrease sensitivity of the skin and protect the skin from carcinogenic effect of the sun Protect the skin from damage effect of the sun more powerful than any other filter Leave the skin sooth and protect from inflammations Increase the potency of moisturizing agents and give more hydration to dry skin
Image
RoC Hydra bioactive normal skin
RoC Hydra bioactive dry skin
Glycerin Hydrovance Omega 3 and omega 6 Fever few vit E Sun screen filter and sun spheres Bisabolol-vit B5)
Powerful moisturizing agent
RoC Hydra bioactive dry skin
Glycerin Hydrovance Omega 3 and omega 6 Fever few vit E Sun screen filter and sun spheres Bisabolol-vit B5)
Powerful moisturizing agent
Increase the potency of moisturizing agents and give more hydration to dry skin
47
Product
Niacinamide ( Vit PP ) Mannitol Xylitol Glycerin
Ingredient
BIODERMA Atoderm PP cream
BIODERMA Atoderm PO zinc cream
Beta-Sitosterol Piroctone Olamine Zinc Gluconate
Restoring of skin comfort ,softness and suppleness. correct the defective skin barrier. Limiting the colonization of Staph Auerus (that normally Colonize 90% on skin of Atopic patient ) Easily and rapidly absorbed could be applied easily on wide areas. Multi action emollient in one emollient provide Steroid like action without Steroid side effect Corticosteroid urea, perfume, lanoline free Easily and rapidly absorbed could be applied easily on wide areas Non occlusive formula
Feature
Biorepairing care of very dry and Atopic Skin calming the Erythema and itching Durably Pleasant smell. No greasy sensation or traces on skin after application
Benefit
Image
Emollient , soothing and purifying Safer than corticosteroids better patient compliance Suitable for use on oozing lesions
48
Product
EXFOLIAC Reconstructive 40 ML
Ceramide essential fatty acids cholesterol
Ingredient
Rebuilds skin lipids film Soothing action hydration Repair the cutancous barrier
Feature
Suitable for dried out and weakened skin Moisturizing and soothing agent Helps rebuild the damage lipidic film Tested with isotretinon optimal hydration for dry skin
Benefit
Image
Glycerin Petroleum jelly
Petrolatum jelly forms an imperceptible protective film on the surface of the skin.
Maintain optimal water content Nourishing instant sensation of skin comfort
DUCRAY Ictyane Cream 50ml
Glycerin, with its highly hydrating action, makes sure the water stays concentrated in the superficial layers of the epidermis.
Glycerin Liquid petroleum jelly safflower oil
Better spreading Ultra fast penetration Greater hydrating effect
Immediate, long-lasting comfort
DUCRAY Ictyane Body Lotion 500ml
Suitable for large surface area hydration ( body )
49
Product
Ingredient
Restore The HLF (Hydrolipidic Film )
Feature
Benefit
nourishes, repairs and protects immediately and durably the most desiccated lips ( Dry cracked lips )
Image
DUCRAY Kelyane HD Lip Care 15ml
Hydroxydecine Mineral oils Vitamin E & A UVA-UVB sun protector
Covering power, super fatting agent
Repair , Protect Long lasting hydration : 6 Hours
Vitamin E Green Tea Gingko Biloba Vitamin C
Anti-oxidant , Antiinflammatory and Prevents skin dehydration Free radical scavenger that helps soothe irritated and inflamed skin and fights against premature aging , protects against pollutants A powerful antioxidant and circulation enhancer that Helps combat the visible effects of aging. A highly
Nourishes, moisturize the Skin an improves skin smoothness Provides protection against environmental aggressors that Contribute to aging. Reduces the signs of aging
ORANGE DAILY Moisturizing cream
50
Product
OLAY Complete day cream
Octocrylen Avobenzone Dimethicon Glycerin Vitamin B3 Vitamin B5 Tochopheryl acetate Panthenol
Ingredient
OLAY Complete night cream
Dimethicon Glycerin Vitamin B3 Vitamin B5 Tochopheryl acetate Panthenol
Binds water/ locks moistures into the upper layer of the skin Provide sun protection factor 15 against UV (protection recommended by dermatologists) Fights free radicals (Vit E) Binds water/ locks moistures into the upper layer of the skin Figths free radicals (Vit E)
Feature
Keeping healthy skin appearance preventing dullness Protect skin from ageing and pigmentation
Benefit
Image
Keeping healthy skin appearance preventing dullness Protect skin from ageing
OLAY Complete Multiradiance SPF15
Glycerin, Ethylhexyl Salicylate, Butyl Methoxydibenzo ylmethane ,Niacinamide Phenylbenzimida zole Sulfonic Acid, Citrus Nobilis + SPF 15
The MultiRadiance Complex contains natural light reflecting particles and mandarin extract. Skin pampering vitamins (B3, E & Pro Vitamin B5) contains SPF15 broad spectrum protection
Keeping healthy skin appearance preventing dullness Protect skin from ageing Broad spectrum protection from sun
51
Product
OLAY Complete Touch of foundation SPF 15 (Light & Dark)
Glycerin, Ethylhexyl Salicylate, Butyl Methoxydibenzo ylmethane ,Dimethicon, Titanium Dioxide, Niacinamide
Ingredient
Complete day cream mixed with Max factor touch of foundation for for up to 24 hours and evens out your complexion for a light, effortless look you can wear every day. Available in 2 shades: light and dark
Feature
Used as a foundation For different skin color Helping to hide scars Provide complete moisturization for skin
Benefit
Image
52
Skin care
Care steps
Sun care
Chapter objectives By the end of this chapter we must able to know the following :
Types of sun radiations The effect of UV rays on human skin Importance of sun protection Types of sun screens The meaning of SPF and IP Pharmacy classification of sun screens Sun protection patient education Sun screens product knowledge Tanning concept Tanning types Management of sun burn
53
Sun care
54
55
56
Artificial photo protection

Many Methods Could be used For Artificial Photo protection Like: - Clothes (Dark or Light Color!!) - Hats (its design!!) - General Advices. - Sunscreens Remember that Sunscreens is one of Methods used for Artificial Photo protection
57
Sun protection importance:
Minimize freckling, wrinkling and ageing of the skin Minimize the risk of eye damage Avoid sunburn; sunburn at any age, whether serious or mild, can cause permanent and irreversible skin damage and increase the risk of skin cancer Reduce your lifetime ultraviolet (UV) radiation exposure; reducing lifetime exposure to UV by 20% is estimated to result in about one third fewer cases of skin cancer in Australia Ultimately reduce your skin cancer risk.
What is Sunscreen ?
Sunscreen is a substance that helps protect the skin from the sun's harmful rays. Sunscreens reflect, absorb, and scatter both ultraviolet A and B radiation to provide protection against ultraviolet A and B radiation. UVR (Ultraviolet radiation) from the sun that can cause sunburn, wrinkling, premature aging, and skin cancer and may also interfere with the body's immune system.
58
Classification of sun rays filters

Mineral screens (reflection)
Titanium dioxide, mica, Zinc oxide, Iron oxide Anti-UVB: benzyliden camphre and octocrylen Anti-UVB/ UVA short: cinnamates, Mexoryl SX, Tinosorb S Anti-UVA long: dibenzoylmethane, Mexoryl XL Tinosorb M
Chemical filters (absorption)
Organic screens (reflection and absorption)
Conclusion, We have two main types of sun screens with different mode of action
59
60
Photo protection efficacy index

SPF = Sun Protection Factor
Anti-erythema (anti-redness) efficacy index The only international index
IP ( Protection Index) UVA Absorption spectrum
Recognized by FDA (USA), COLIPA (EU), JCA (Japan)
Several anti-UVA indexes are used now days IP PPD (Persistent Pigment Darkening): JCA and COLIPA Anti-UVA and anti-UVB index
61
SPF definition
SPF ( Sun Protection Factor ) refer to the degree to which a sunscreen can protect the skin from sunburn ( UVb effect ).
Dont assume
the duration of effectiveness of a sunscreen can be calculated accurately simply by multiplying the SPF by the length of time it takes for him or her to suffer a burn without sunscreen because the amount of sun exposure a person receives is dependent upon more than just the length of time spent in the sun. The amount of sun exposure depends upon a number of factors including : the length of exposure time of day geographic location
weather conditions Ideal sunscreen

High SPF(proper SPF) Well tolerated Cosmetically pleasant Non-toxic Equally effective (UVA, UVB) Photo stable Thermo stable
62
Customer education

Applied 15-30 minutes before exposure Further reapplication after activities (swimming, sweating, Rubbing) Re-apply every 2 hours Sufficient amount( effective sunscreen dose ) (2mg/cm2)
63
Sun screen products available at NMC Product Ingredient Features

BIODERMA Photoderm max milk SPF100 SPF/UVA less than 3 Anti UVA & UVB CW 380 nm Water & Sweat resistant photo stable Transparent 99.8% Perfume free Non occlusive formula Patented cellular bioprotection complex Melting texture colorless when applied
Benefits
Maximum photo protection Broad Spectrum protection Protecting from UVB-UVA1UVA2 Effective medical photo protection Protect the skin from sun in depth. Long lasting action in comparison with other sunscreens Doesnt leave white traces Not shiny, greasy, sticky completely absorbable on the skin not leaving any traces. make up wearing after Photoderm use is possible and it may be used as a base cream Tested to be non allergic & non irritant Non Comedogenic Provide maximum protection for skin cell Suitable for body use for all skin types High patient acceptance
Image
64
Product
Ingredient
Features
Spreads very easily leaving no oily film or white marks photo stable Perfume free Non occlusive formula Patented cellular bioprotection complex
Benefits
Suitable for oily and combination skin Non Comedogenic Long lasting action in comparison with other sunscreens Ensure excellent tolerance Provide maximum protection for skin cell
Image
BIODERMA Photoderm max fluid
Day Long 50+ Lotion
Sun Filter: Tinosorb S Tinosorb (Organic UVA&U VB Filters) Methoxyci nnamate (UVB) Other ingredients: Vitamin E: 1 % Aloe vera Sorbitol
Liposomal sunscreen (target the active substance to the specific tissue , Providing continuous action Excellent photo stability Water Resistance
Triple action: (sun protection ,Antioxidant and Skin soothing) Long lasting effect Suitable for all skin types Cost effective Once daily application Protect the skin from premature ageing , sun burn , dryness and sun pigmenting effect
Sewat and rubproff

Non fatty Hydrating Non comedogenic Non irritant Non perfumed
65
Product
Ingredient
Tinosorb S Tinosorb M Cinnamates Octocrylen
Features
Ultra high Protection SPF50+ Broad spectrum UVB-UVA Photo stable Highly water resistant Fragrance Free Hypoallergenic Very High Protection UVB-UVA efficacy Photos table Highly water resistant Fragrance Free Hypoallergenic Oil free formula
Protect against UVA and UVB Suitable For All Skin Types, Colorant, Perfume Free and Oil Free.
Benefits
Suitable for dry and normal skin Non Comedogenic Invisible appearance Protect against Hyperpigmintatio n , ageing and erythema
Image
DUCRAY Photoscreen 50+ Cream - 50 m l
DUCRAY Photoscreen 30 Gel - 50 ml
Tinosorb S Tinosorb M Cinnamates Octocrylen
Suitable for oily and combination skin
Non Comedogenic Invisible appearance Protect against Hyperpigmintatio n , ageing and erythema
Coppertone Oil free Cream
Broad Spectrum Tinosorb S & M AntiOxidants (Vit.E & Olive Leaf Ext.) Cocao Glycerides.
Improve Skin Elasticity Prevent Premature Aging, Suitable for oily skin as it nonGreasy Moisturizing
66
Product
Ingredient
Tear-free formula with Zinc Oxide. Provides broad spectrum UVA/UVB protection for kids.
Features
Protect against UVA and UVB Suitable For All Skin Types, Colorant, Perfume Free and Oil Free.
Benefits
Durable, broad spectrum UVA/UVB protection Antioxidant vitamin blend to supplement skin's natural defenses Waterproof Safe for children
Image
Coppertone Kids spray
Octocrylen Uvinul A Avobenzone Tinosorb S & M Vegetal DNA Enriching moisturizing complex
Powerful UVB filters
New UV.A filters Broad band UV filters Repairing Active 6 hours resistance Fix extreme technology (wheat polypeptide) Intolerance hypo-allergenic, fragrance-free and colorant-free, provide skin moisture it needs while leaving a velvet touch
RoC Soleil protexion Quenching fluid spf 50
Ensure a maximal protection against sun burns An ultra-performing defense against premature skin aging. Protect from damaging UV rays(cf. Below graph) Stimulates the DNA repair of the cells altered by sun rays, to rejuvenate it. Allows a better adhesion of the protection on the skin, thus resisting to 6 hours sun, water, sand, sweat and towel rubbing to guarantee a constant defence during sun exposure. Meet the demands of the most sensitive skin. Non sticks & non greasy..used for normal to combination skin 67
Product
Ingredient
Octocrylen Uvinul A Avobenzone Tinosorb S & M Vegetal DNA SOYA extract
Features
Powerful UVB filters
Benefits
Ensure a maximal protection against sun burns An ultra-performing defense against premature skin aging. Protect from damaging UV rays(cf. Below graph) Stimulates the DNA repair of the cells altered by sun rays, to rejuvenate it. Allows a better adhesion of the protection on the skin, thus resisting to 6 hours sun, water, sand, sweat and towel rubbing to guarantee a constant defence during sun exposure. Meet the demands of the most sensitive skin. Brown spots visibly reduced.....complexi on is more unified The same like before Meet the demands of the most sensitive skin. Non sticks & non greasy..used for normal to combination skin Non shiny look
Image
New UV.A filters Broad band UV filters Repairing Active 6 hours resistance Fix extreme technology (wheat polypeptide) Intolerance hypo-allergenic, fragrance-free and colorant-free, Reduce melanin transfer & production
RoC Soleil protexion Anti brown spot SPF 50
Soleil protexion Anti shine cream SPF 30
Octocrylen Uvinul A Avobenzone Tinosorb S & M Vegetal DNA Enriching moisturizing complex Matifying & a seboregulating ingredients
The same like before provide skin moisture it needs while leaving a velvet touch Matt-looking skin
68
Tanning
Sun tanning, also called bronzing, is the act of exposing the skin to ultraviolet (UV) radiation, for the purpose of darkening skin color, either during sun bathing or using artificial sources, such as tanning beds.
Tanning mechanisms :
There are two different mechanisms involved Firstly, the UVA-radiation generates oxidative stress, which in turn oxidises preexisting melanin. This leads to rapid darkening of already existing melanin Secondly, there is an increased production of melanin ( Melanogenesis).It is a reaction of the body to photo damage from UVB
Tanning types :
69
Customer education
Begin tanning session with only 10 or 15 minutes of exposure to the sun or a tanning lamp to acclimatize skin to the heat and gradually increase the time as body becomes more tanned. Choose the right sunscreen with an SPF factor of under 15, but no less than 8 to get the minimum necessary Take care to ensure that skin is moisturized with after-sun lotion; opting for a lotion that contains aloe will help make tan last and also cool the skin since aloe is rich in skin soothing properties. If you are on acne medication, do consult your health care provider before venturing out for a sun tanning session as certain types can lower your resistance to sun. Those with a fair complexion are more prone to sunburn than people with darker complexions and therefore must avoid direct sun exposure during peak hours of 10:00 to 2:00, when its rays are the most harmful and can penetrate the light skin most. Remember to wear sunglasses while tanning in the sun or in a tanning bed as your eyes are precious and can be easily damaged by the scorching rays of noonday sun. Test the tanning product on a small area of skin to check for any signs of adverse reactions. Prepare your skin before applying sun-tanning lotion. This can be done by scrubbing away dead skin with a loofah pad before rubbing the lotion on thoroughly. Sun tanning lotion must be applied in slow, deliberate movements to the back of your knees, elbows, ankles and tan lines. Wipe away extra lotion so you do not become a victim of creased tan and get the bronzed look evenly-and compliments about your sunny disposition too. Do remember to wash hands or gloves thoroughly with soap and water after applying sun tanning lotion and wait at least 15 minutes before getting skin wet. If there are certain areas youd rather keep light, you can pre-apply baby oil or lotion to such regions like the knees and elbows, then use sunless tanner on them to keep them from getting too dark.
70
Tanning products available at NMC Product name Ingredient

Cocoa butter Unique blend of botanicals
Features
COPPERTONE Mega tan
Stimulate Melanin Formation without harming the skin Hydrating , water resistant
Benefits
Fast Tanning in just. one afternoon
Shape
vitamin E Aloe Vera
COPPERTONE Lotion
Fast absorbing non-greasy Waterproof UVA/UVB protection
Fast tanning stable bronze appearance Convenient sandproof sunscreen that dries in seconds.
COPPERTONE Sunless tanning lotion
Isohexadecane Glycerin Panthenol (Provitamin B5) Tochopherol (Vitamin E),
Easy way to build and control a flawless, sunless tan Contains moisturizers and vitamin E Clean, fresh scent; won't clog pores; dries quickly
Fast tanning without harmful effect of sun High patient acceptance Moisturizer of skin
71
Sun burn
produced by overexposure to ultraviolet (UV) radiation, commonly from the sun's rays. Usual mild symptoms in humans and animals include red or reddish skin that is hot to the touch, general fatigue, and mild dizziness. An excess of UV-radiation can be life-threatening in extreme cases. Exposure of the skin to lesser amounts of UV radiation will often produce a suntan.
Topical preparation may be Healing accelerator ( Mebo, Bepanthen ) and / or soothing agents ( after sun products )
72
Patient education
Avoid sun exposure between 10 a.m. and 4 p.m. when the suns rays are strongest. Wear protective clothing, long sleeved shirts, long pants, wide-brimmed hats, umbrellas. Use sunscreens regularly! Avoid tanning beds and tan-accelerating agents. Beware of reflective surfaces such as sand, water, and concrete which can reflect more that half the suns rays onto your skin. Sitting under the shade does not guarantee protection from sunburn. Dont forget to wear sunscreen on overcast days. The suns rays are as damaging to your skin on cloudy days as they are on sunny days. Examine your skin frequently for new skin growth or changes in existing moles, freckles, bumps and birthmarks.
73
Sun burn products available at NMC

Product Contents
Fever few(plant extract by J&J) Ginkgo biloba CM glucan
Features
RoC Calmance intolerance repairing cream
Anti irritation , anti redness and anti itching Anti oxidant Cell membrane protection Non greasy ,fragrance for sensitive skin Mostly natural product
Benefits
Immediate relief from redness & irritation from first use(post leaser, chemical peeling, sun burn) Reinforce skin natural defense Repairing action increase customer acceptance High safety profile
soothes painful sensations and its multivitamin E complex and PCA clay promotes cellular repair.
Picture
VICHY Capital soliel lotion
Essential fatty acids Glycerol Anti-oxidant complex made from PCA clay and Polytocopherol Thermal Spa Water Vitamin E Menthol, alantoin and bisabolol Cacao butter and glycerin
SEBAMED After sun soothing balm
Soften the skin and make it more supple Helps the skin rediscover it optimal moisture. Aid the skin's natural selfdefense system. Soothing and anti-irritating Eliminates damaging free radicals to protect against premature ageing Cooling and soothing properties regenerate the skin Provide intense hydration and protect the elasticity of the skin
Rapidly relieve and revitalize the overheated skin after sun exposure Suitable for children Suitable for sensitive skin
74
Skin care planogram
Skin care
Cleansing
Hyperpigmintation
Moisturization
Ageing
Exfoliation
Cellulite
Sun care
Stretch mark
Acne
75
Skin care
Cure steps
Hyperpigmintation
Chapter objective By the end of this chapter we must be able to know the following :
Definition of Hyperpigmintation The concept of photo types Phases of pigmentation development Causes of Hyperpigmintation Lines of treatment for Hyperpigmintation Different sites of Hyperpigmintation and treatment lines of handling each Whitening product knowledge Sales benefit of whitening knowledge
76
Hyperpigmintation Definition
Hyperpigmintation is the darkening of an area of skin or nails caused by increased melanin.
Hyperpigmintation etiology
Hyperpigmintation happens due to increasing in melanin production as a result of Melanocyte stimulation ( The most predominant stimuli is sun rays
77
Melanocyte
Key cell for pigmentation. Factory of melanin Synthesis. Branched nucleated functioning cells. Located at the basal cell layer of Epidermis. Each Melanocyte responsible for pigmentation of 36 Keratinocytes o (Epidermal Melanin Unit)
Melanin
Pigments produced from Melanocyte. Melanin is produced from Tyrosine. Distributed to Keratinocytes. Present inside Melanocyte- Keratinocytes- Corneocytes. Two Main types are available : -Eumelanin (Brown-black- important for Photo protection- in all prototypes except prototype I) - Phaeomelanin (orange-Red- No Photo protection role- Phototype I) Eumelanin absorb, reflect, diffract UVs. The intensity of Eumelanin concentration determine the Skin prototype
78
Fact
People are six photo types. Each photo type depend on the ratio between Phaeomelanin and Eumelanin We cannot change our photo type.
79
Melanin synthesis
80
Simply
Phases of pigmentation development
81
Steps of pigmentation:

Induction of pigmentation
Melanin Synthesis
UVs Mediators e.g. Melanotropic factors (MSH, ET-1) factors. free radicals. Inside Melanocyte From L. Tyrosine Tyrosinase Enzyme (Key Enzyme). CU++ is an important Co Enzyme.
Transfer of Melanosomes Into Keratinocytes and Corneocytes Installation of Melanosomes into corneocytes
82
Causes of Hyperpigmintation :
Direct exposure to sun rays. Hormonal imbalance ( melasma ) ( Hormonal therapy , pregnancy , contraceptive pills ) Hereditary . little fair spots (fair skins / red heads ) freckles Phototoxic, photo sensitive components: retinoic acid (Roaccutane) sulphamides, antibiotics Age related pigmentation Brown or black spots with clear contours (UV exposed area) Lentigo Pigment spots located in the cheek center
Principles of Melasma therapy
83
Summary for Principles of Melasma therapy 1-Induction inhibition

UV-protection Limitation of the induction by mediators
2. Melanin synthesis inhibition

Tyrosinase enzyme inhibition CU++ chelating agent
3. Prevention of melanin distribution

Decrease of Melanosomes transfer
4. Elimination of existing melanin

Acceleration of exfoliation This step done to peel or remove the surface skin layer with accumulated melanin and achieved by physical or chemical method like glycolic acids or micro beads friction
84
Simply
Inhibition
Peeling
How to choose the proper whitening product. ?

Formulary suitable to affected area Direct message Application design Price range
How to deal with Hyperpigmintation cases ?

We are dealing with each case according to Site of Hyperpigmintation Etiology of Hyperpigmintation Proper choosing of line of treatment and its product
85
Sites of Hyperpigmintation
86
Whitening products available at NMC
Product
RoC SOYA unify day
Ingredient
Active soy. S.P.F 15
Features
counter act melanin excess which is responsible for brown spots protection from sun
Benefits
Unify color of skin by reducing brown spots to the normal color of skin in a non complicated way like others as it works on melanin synthesis to help reduce damage of skin due to U.V rays Unify color of skin by reducing brown spots to the normal color of skin in a non complicated way like others as it works on melanin synthesis potentiate action of soya and makes skin healthy and soft Depegmenting action ( melasma ,lentigos ,brown patches mask of pregnancy )
Picture
RoC SOYA unify night
Active soy protein, lipids & oligo elements
counter act melanin excess which is responsible for brown spots Intensive nourishing at night
IKLEN Serum 30 ML
Rucinol Alpha sophora
Inhibit melanin synthesis by inhibition of tyrosinase Blocks extracellula r action of alpha-MSH, by blocking MSH receptors.
87
Product
IKLEN cream 30 ml
Ingredient
Rucinol
Features
Inhibit melanin synthesis by inhibition of tyrosinase
Benefits
Depegmenting action ( melasma ,lentigos ,brown patches mask of pregnancy Safe in sensitive areas
Picture
ORANGE DAILY Dual action whitening cream
Licorice extract arbutin lactic acid vit C
Regulation of melanin formulation Exfoliation of hyper pigmented cell
post inflammatory hyper pigmentation
Andrographo lide Vitamin C Glabridine
BIODERMA White objective day cream
Lysine Azeilate
Vitamin PP UV filters
Limits Melanocyt e stimulatio n Free radical scavenger , Inhibitions of tyrosinase Enzyme Eliminates the preexisting pigmentati on Free radicals Reduces melanin transfer Limits Melanocyt e stimulation
lightening day care adapted to all skin types even sensitive May be used as make-up base for ladies. Suitable for sensitive skin High UV protection: SPF 30 extra photo protector use is not necessary.
88
Product
Ingredient
by UV Light nonoily cream texture Fragrance free, non Comedogenic
Features
Benefits
Picture
Andrographoli de Vitamin C Glabridine Lysine Azeilate Vitamin PP Glycolic acid 12%
Limits Melanocyte stimulation Free radical scavenger , Inhibitions of tyrosinase Enzyme Eliminates the preexisting pigmentatio n Free radicals Reduces melanin transfer Soft peeling action Light nonoily cream texture Fragrance free, non Comedogen ic
BIODERMA White objective night serum
Generalized Lightening program for Aesthetic Concern. Peri oral and peri orbital hyper pigmentation Hyperpigmintati on in Flexures (Axilla, Between Thighs, Under breast) Freckles. Any type of Hyperpigmintati on in patients with sensitive skin. Between Peeling sessions. Alternative treatment with Hydroquinone based preparations.
89
Product
OLAY White radiance day cream
Ingredient
Vitamin B3 Bio flavanoid Hesperidin (Vit P), Pro Vit B4 Vit E SPF 24 Mulberry Bark, Japanese Angelica, Honeysuckl Lily extracts to promote natural, gentle fairness
Features
penetrate skin cells, eight surface cell layers deep, providing whitening, translucen cy and hydration.
Benefits
Safe , gentle , herbal whitening formula for Hyperpigmintatio n Protect skin from sun damaging pigmenting rays
Picture
OLAY Natural White Night cream
Vit B3 Vit E, Pro Vit B5
nutrients rich formula Vitamin B3 enriched formula gives you fairer looking as it prevent Melanoso mes distribuatio n
replenishes skins natural moisture level reduce the appearance of dark spots
90
Skin care
Cure steps
Ageing
Chapter objectives
By the end of this chapter we must be able to know the following : Definition of ageing Causes of wrinkle formation Wrinkles formation stages Lines of treatment of wrinkles Wrinkles patient education Sales benefit of wrinkle knowledge Anti wrinkles product knowledge
91
Ageing
Defination :
Wrinkles are a natural part of aging. As you grow older, your skin gets thinner, drier and less elastic. And it becomes less able to protect itself from damage. As a result, wrinkles, lines and creases form in your skin. Although genetics are the most important determiner of skin texture, a major contributor to wrinkles is spending too much time in the sun. Smoking also can cause premature aging of your skin .
the amount of collagen and elastin plays a very important role in maintaining its strength, elasticity and integrity
92
Wrinkle formation stages
What happen as we get older ?
93
Seven Signs of Aging

Sign 1: Water content in your skin cells diminishes, leading to increased dryness. Sign 2: Collagen production slows, resulting in a less supple texture. Skin loses its "memory" and resilience and result in sagging. Sign 3: The rate of metabolism also slows, leading to a dull, dry appearance. Sign 4: Cell turnover diminishes and dead cells build up on skin's surface, causing it to look ashy and dull. Sign 5: The recovery rate from UV damage slows. You may observe the beginning of dark spots caused by irregular pigment production. Sign 6: Your reservoir of essential nutrients becomes depleted and your skin becomes more fragile and delicate. Sign 7: Your natural ability to repair and recover from environmental damage is reduced, also leading to discoloration, wrinkles and loss of elasticity.
Wrinkles causes
Age. As you get older, your skin naturally thins and becomes less elastic and more fragile. Decreased production of natural oils makes your skin drier and appear more wrinkled. Fat in the deeper layers of your skin, which gives the skin a plump appearance, starts to lessen. This causes loose, saggy skin and more pronounced lines and crevices. Exposure to ultraviolet (UV) light. Ultraviolet radiation markedly speeds up the natural aging process and is the primary cause of early wrinkling. Exposure to UV light breaks down your skin's connective tissue collagen and elastin fibers, which lie in the deeper layer of skin (dermis). Without the supportive connective tissue, your skin loses its strength and flexibility. As a result, skin begins to sag and wrinkle prematurely. Smoking. Smoking can accelerate the normal aging process of your skin, contributing to wrinkles. This may be due to changes in the blood supply to your skin. Repeated facial expressions. Facial movements and expressions, such as squinting or smiling, lead to fine lines and wrinkles. Each time you use a facial muscle, a groove forms beneath the surface of the skin. And as skin ages, it loses its flexibility and is no longer able to spring back in place. These grooves then become permanent features on
94
Lines of treatment of wrinkle :
Facial cleansing Sun protection Exfoliation Hydroxy acids Retinoids Antioxidants (free radical scavengers)
Antioxidants reduce free-radical damage, thereby preventing impairment at the cellular level. They inhibit inflammation, which leads to collagen depletion, and they offer protection against photo damage and skin cancer. It may be topically or systemically.
Skin matrix enhancers Peptides

Topical peptides are regarded as cellular messengers that are formed from amino acids and are designed to mimic peptide fragments with endogenous biologic activity. These peptides are comprised of a sub fragment of type I collagen propeptide, and play a role in signaling fibroblasts to produce collagen in the skin which can improve the appearance of wrinkles
Retinoids ( Retinol) and AHA, PHA Skin matrix fillers Collagen Hyaluronic acid Moisturization
95
Wrinkles treatment plan
96
Anti wrinkles products available at NMC
Product
Ingredient
retinol (0.4%)
Feature
RoC Retinox wrinkle correxion day
D.M.C hyaluronic acid
surfacestimulate cell renewing bDepthstimulate collagen & elastin formation. boosts action of retinol(synergestic effect) Attract water bio peptides communicating agent to prevent cell damage(produce collagen) Inteligent biopeptides a.produce collagen b.restructure collagen c.increase H.A Strong moisturizers
Benefit
Reduce fine lines .Reduce deep wrinkles .less retinol conc. less side effects..with the same high efficacy imediately plump the skin.smoothes appearance of wrinkles Inteligent biopeptide has more effect on deep wrinkle than biopeptide and adapts its efficacy to the level of tissue damage no need to use moisturizer with retinox,which prevent further formation of wrinkles by preventing dryness .protect skin structure .prevent formation of wrinkles not greasy,high acceptance easy application with easy dosing
Shape
inteligent biopeptides
Moisturizers a.butylene glycol b.shea butter & glycerin
Anti oxidants
protect skin from free radicals Light texture..Immedia tely absorbed.flora l fragrance plastic tube with pump
97
Product
RoC Retinox wrinkle correxion night
Ingredient
retinol D.M.C Hyaluronic acid Inteligent biopeptide .moisturizers a. butylene glycol b.glycerin special anti oxidant
Feature
Same like before
Benefit
Same like before prevent formation of wrinkles leave velvet ,soft finish
Shape
.help skin recover and regenerate during the night .rich texture without being greasy 8.plastic tube with pump
RoC Retinox wrinkle correxion eye cream
retinol D.M.C Hyaluronic acid. Inteligent biopeptide polymer Anti oxidants light capture technology retinol D.M.C Hyaluronic acid
Same like before immediate wrinkle reduction effect protect skin from free radicals lighten up the eye area
Same like before immediate result protect skin structure .prevent formation of wrinkles reduce dark circles
Same like before Day& night
easy to be used at any time
RoC Retinox wrinkle filler
98
Product
RoC Retinol A.C.E
Ingredient
Vit A vit C Vit E
Feature

Anti wrinkle .Unifying color Moisturizer
Benefit
daily face care for the most wanted uses
Shape
ORANGE DAILY 10 % vitamin c serum
Jojoba oil vitamin A vitamin E vitamin C
Anti aging herbal combination promotes smooth and radiant skin Anti-oxidant , Anti-inflammatory and Prevents skin Dehydration Powerful Antioxidant and improves strength and elasticity of skin Deliver deep moisture to dry skin and immediately help visibly regenerate its appearance. Intensely hydrates with a rich, nongreasy formula Instantly softens the look of fine lines and wrinkles Amino peptides complex (restore collagen), Hyaluronic Acid (restore turgor/ firmness, Anti Oxidants, Green tea extract (fight free radicals)
Protects healthy skin cells from free Radical damage, while helping to increase the production of collagen to maintain firm, smooth skin. A revitalizing serum that improves skin tone and texture, softening its complexion Instantly softens the look of fine lines and wrinkles Improves skin texture
OLAY Regenerist day cream
Amino peptide Allantoin Green tea leaf extract Niacinamide Panthenol Titanium dioxide
OLAY Microsculpt ing cream
Amino peptide Allantoin Green tea leaf extract Niacinamide Panthenol Titanium dioxide Sod.hyalyuri nat
visibly younger skin in just Regenerates skin cell by cell. Increases surface skin regeneration by up to 200%*. Firms sagging skin, even jaw line and neck. Diminishes the visibility wrinkles. Restores & fortifies skin suppleness.
99
Product
OLAY Age Defying eye gel
Ingredient
Pro-Vitamin B5, Witch hazel to revitalize the skin, and soothing cucumber extract.
Feature
OLAY Age Defying Day cream
beta-hydroxy acid and (salicylic acid), which works with skin to gently lift away dull, dry skin and wipe away the signs of aging. Vit E 87% aloe activating essence
Intensely moisturises and regenerates the delicate area around the eye. Revitalises and refreshes eye area while smoothing away wrinkles and diminishes dark circles and puffiness Ensures skin is protected from the sun and moisturised. Works to significantly reduce the appearance of fine lines and wrinkles. Stimulate collagen production
Benefit
Reveals younger looking skin
Shape
Reveals younger looking skin
100
Skin care
Cure steps
Cellulite Chapter objectives

By the end of this chapter we must be able to know the follwing : Defination of cellulite Cellulite formation Cellulite treatment Cellulite patient education
101
Cellulite
Definition :
Cellulite is the dimpled appearance of the skin that some people have on their hips, thighs, and buttocks. This appearance is much more common in women than in men because of differences in the way fat, muscle, and connective tissue are distributed in men and women's skin. The lumpiness of cellulite is caused by fat deposits that push and distort the connective tissues beneath skin, leading to the characteristic changes in the skin.
Summary
Superficial pockets of trapped fat which cause uneven dimpling or ( orange peel )
Cellulite is not related to the condition known as cellulitis, which is a spreading bacterial infection of the skin and tissues beneath the skin
Cellulite occurrence factors

Hormonal Hereditary Stress Diet Lifestyle
102
Cellulite formation
Glucose plays a key role in cellulite formation
Excess glucose converted into fats (Lipogenesis) Stored in adepocyte leading to adepocyte swelling which push push and distort the connective tissues beneath skin, leading to the characteristic changes in the skin.
103
Cellulite treatment
( Depend mostly on lipolysis) Methylxanthines: Methylxanthines are a group of chemicals that include aminophylline, caffeine, and theophyilline. These chemicals are present in many cellulite creams and are promoted as treatments for cellulite because of their known ability to break down fat stores. Dietary supplements: Se such as ginkgo biloba, , oil of evening primrose, fish oil, and soy lecithin. These preparations claim to have positive effects on the body such as boosting metabolism, improving circulation, protecting against cell damage, and breaking down fats. Massage treatments: Collagenase: Collagenase is a naturally-occurring enzyme in the body that breaks down collagen, a component of connective tissue (the tissues that bind our cells together). injections with this enzyme may be beneficial in improving the appearance of cellulite
104
Anti cellulite products available at NMC Product Contents

Retinol Caffeine
Stimulate cellular activity reduce cells fat storage capacity transforms fats into fatty acids by activation of lipase with 24 hrs activity Draining agent , Stimulates skin texture Tighten skin surface stimulate fibroblast renewal Eliminate fatty acid by transporting long chain fatty acid to mitochondria. Non greasy, hypoallergenic, with slight fragrance tested for sensitive skin. Supports the conversion of fat into energy.
Features
Benefits
Restore skin structure b. reduce dumpy appearance of cellulite Fat burning, slimming action restore blood flowelimination of fluids.decrease cellulite shape firming actionbetter look Restore skin connective tissue..decrease cellulite appearance burning of fatty acid highly accepted and tolerated Visibly reduce the appearance of cellulite.
Picture
Rescugenin and amino acids
RoC Retinol anticellulite

carnitine
Nivea Goodbye Cellulite Cream 200 ml cream
L- Carnitine, Cyclomethicone, Glycerin, Methylpropanedi ol, Chondrus Crispus (Carrageenan
105
Skin care
Cure steps
Stretch mark
Chapter objectives
By the end of this chapter we must be able to know the follwing :
What Are stretch mark? Why don't they heal over time? Idea of stretch mark products Stretch mark patient education Anti stretch mark product knowledge Sales benefit of stretch mark knowledge
106
Stretch mark
What Are They?
To understand stretch marks, we need to explain what skin is made of and how it works ?. Normal skin is 80% collagen and 4% elastin fiber mesh network . Elastin is the protein in the skin which gives it its flexibility and allows it to stretch. The elastin form a fishnet-like network in the skin which allows our skin to stretch and recoil back to its original position. These elastin fibers are damaged in stretch marks, causing the 'scar' of a stretch mark. What's so remarkable about stretch marks is how prominent they look, but under a microscope you see almost no difference from normal, healthy skin. If you touch a stretch mark, it feels empty, almost like there is no skin there. Visually and textually the skin is so very different, yet so little has actually changed in the skin.
( Stretch Marks are Damaged Elastin )
Why don't they heal over time?
Stretch marks are a huge problem. The problem with stretch marks is the elastic fibers in skin with stretch marks are damaged, and elastic fibers are the single hardest thing to repair in skin. When you have a wound thats healing, our body replaces the collagen proteins and all the skin structures that are injured, but the elastic fiber is very difficult to repair. The trouble with stretch marks is that there's this defect in those fibers. So since our body cannot effectively repair those fibers, the stretch marks do not heal.
107
Idea of stretch Marks Products
( Prevention is better than cure )

Mainly depend on :
Moisturizers like shea butter, sweet almond oil, and vitamin E are used to improve skins elasticity Ingredients that improves the structure of collagen and strength of the skin. Alpha Hydroxy Acid. The purpose of this is ingredient is to repair and restructure the skin. powerful anti-oxidants such as acai, green and white tea extracts
108
Anti stretch mark products available at NMC Product Contents
anti oxidant complex(vitE, bisabolol) high performance emollient complex (soya,almond,ros e,black current, wheat germs oil)
Features

prevent elastin &collagen degradation. soften &tighten skin..increase elasticity unifies skin surface.
Benefits
Prevent stretch marks formation &reduce existing early stretch marks keep skin elastic enough to be stretched..prevent stretch marks formation reduce existing stretch marks size & width. economic
Picture
RoC Maternity anti stretch marks oil spray
oily spary formdistribute over large area easily. non greasy, fast absorbed natural product slight fragrance(tested for sensitive skin)
no cloth staining safe in pregnancy and lactation increase acceptance reduce stretch marks size reduce scars
Retinol (Not suitable for pregnancy) Sepitonic mineral complex firming agents
surfacestimulate cell renewing depthstimulate collagen & elastin formation boosts retinol action
RoC Retinol anti stretch marks cream
prevent the loosing appearance of the skin
ultra emollient base
faster results better look and shape of stretch marks better look and shape of stretch marks
increase elasticity of the skin
reduce stretch marks shape & prevent further formation of stretch marks
109
Product
Contents
Cocoa Butter Vitamin E Collagen Elastin
Features
Lubricates the skin to help it retain its natural elasticity and moisture.
Benefits
Relieves the dryness associated with stretched skin due to pregnancy and smoothes stretch marks due to weight loss
Picture
Palmer's Cocoa Butter Formula, Massage Cream For Stretch Marks
Non-greasy cream relieves the dryness associated with stretched skin due to pregnancy and smoothes stretch marks due to weight loss
Silicium, Nourshing plant oils Hydroxyproline
Nourishes and hydrate the skin and retains its elasticity and is better ablw to defend itself from significant stretching
Reduce the risk of stretch marks appearing
VICHY Anti stretch mark cream
Vitamin E Emollients .
AVALON Anti stretch mark cream
Powerful antioxidant and an aide to skin regeneration.
Decreases the likelihood of stretch marks apperance
Reduce scarring
110
Skin care
Cure steps
Acne
Chapter objectives
By the end of this chapter we must be able to know the following :
111
Acne
Definition
Acne is a common skin disease characterized by pimples on the face, chest, and back where these areas of skin with highest density of sebaceous glands. It occurs when the pores of the skin become clogged with oil, dead skin cells, and bacteria.
How do acne and scars develop?

Each follicle, or pore, in our skin contains a tiny hair and is connected with multi-lobed oil glands called sebaceous glands. These glands produce sebum, an oily substance that lubricates our hair and skin. At the same time, skin cells that lining the follicle are shed gradually and both the dead cells and sebum are expelled on to the skin surface.
Diagram of the hair follicle and the sebaceous glands Most of the time the glands produce the right amount of sebum and the pores are fine. However, in acne, too much sebum is produced by the over-stimulated sebaceous glands. When excess sebum is mixed with the dead skin cells, a plug is formed in the follicle. The sebum and dead skin cells are prevented from leaving the clogged up pore, while the excretion of sebum and the shedding of skin cells continue to take place. The accumulated sebum in turn causes a build-up of bacteria that live on it. This leads to swelling around the pore and acne is the result. This could happen to anybody, young and old.
Training and development department 112
Acne causes
The exact cause of acne is unknown. Several risk factors have been identified: Age. Due to the hormonal changes they experience, teenagers are more likely to develop acne. Where more androgens leads to enlarged sebaceous glands which means more sebum produced Gender. Boys have more severe acne and develop it more often than girls. Disease. Hormonal disorders can complicate acne in girls. Heredity. Individuals with a family history of acne have greater susceptibility to the disease. Hormonal changes. Acne can flare up before menstruation, during pregnancy, and menopause. Diet. No foods cause acne, but certain foods may cause flare-ups. Drugs. Acne can be a side effect of drugs including tranquilizers, antidepressants, antibiotics, oral contraceptives, and anabolic steroids. Personal hygiene. Abrasive soaps, hard scrubbing, or picking at pimples will make them worse. Cosmetics. Oil-based makeup and hair sprays worsen acne. Environment. Exposure to oils and greases, polluted air, and sweating in hot weather aggravate acne. Stress. Emotional stress may contribute to acne. Acne terminology Whiteheads When the sebaceous glands are over-stimulated, they enlarge and produce more sebum. The follicle is plugged from the inside by the mixture of excess sebum and the dead skin cells As the mixture continues to accumulate in the follicle, it eventually forms a whitehead (closed comedo). Whiteheads are small collections of pus around the follicle and the sebaceous glands They usually appear on the skin surface as small, whitish bumps. Blackheads Sometimes, the mixture of excess sebum and dead skin cells serves only to block the pore partially, restricting but not completely sealing off the flow of oil onto the skin surface. This results in solidification of the sebum that fills the hair duct. The dried sebum and the shedded skin cells reach the skin surface at the pore opening and are discolored on exposure to air, forming a blackhead (open comedo). The dark color of blackheads is not due to dirt but is from a pigment, called melanin, of the shedded skin cells. Both the whiteheads and the blackheads are non-inflamed lesions. Pustules and Nodules As we mentioned earlier, the accumulated sebum in a clogged follicle could cause a build-up of bacteria because some bacteria live on sebum. One type of bacteria specifically involved is Propionibacterium acnes, or P. acnes for short. P. acnes ingests sebum and is a normal resident on skin even in people who don't have acne. However, when the hair follicle gets clogged and sebum builds up inside the follicle, P. acnes multiplies rapidly. In addition, it produces an enzyme that breaks down sebum into a substance called 'free fatty acid.' It is this substance that causes inflammation, redness and swelling around the pus-formed area of the skin. These inflamed and generally more serious acne lesions are called pustules (pus-filled yellowish bumps) and nodules (firm, red, painful lumps just under the skin.)
Training and development department 113
Cysts If the inflammation is deep and severe, or if the spot is manipulated or squeezed, the pus can burst deep into the skin tissues rather than onto the skin surface. Swelling and pain take place as the body's activated defense mechanism sends bacteria-fighting white cells to the area. This deep-rooted inflammation and infection result in cyst formation. Cystic acne is the most severe and stubborn of all types of acne, and carries the biggest threat of scarring. The white blood cell antibodies that are to fight bacteria could destroy other skin organisms and cells, severely affecting the whole follicle. Sometimes, after the acne is healed, permanent scars remain on the skin Comedones Are enlarged hair follicles plugged with oil and bacteria . a comedo is often called a microcomedo because It cannot seen by necked eye.
Acne types
Acne
Inflamed
Non inflamed
Papules
Soft closed comedons
Pustules
Hard Closed Comedones
Nodules
Open Comedones
Cysts
Micro comedones
114
Non inflamed acne Types of Non-Inflamed Acne Blemishes Soft Closed Comedones
Appearance: Soft closed Comedones present as bumpiness on the skin's surface. They are not painful or red. Development: Soft closed Comedones develop when a plug of cellular debris and oil becomes trapped within the pore and are covered by a layer of dead skin cells. The oil plug itself remains liquid or soft. Treatment: Treatment involves reducing excess oil and dead cells. Estheticians and dermatologists often extract Comedones by exerting gentle pressure, coaxing the trapped oil plug to the surface. Keeping the skin clear of soft closed Comedones can drastically reduce the development of inflamed acne breakouts.
Hard Closed Comedones
Appearance: Hard closed Comedones, called milia, have very obvious white heads. Unlike pustules, milia are not red or painful. They are especially common in the eye area. Development: Hard closed Comedones develop just as their soft counterparts, however the impaction has hardened and is similar to a grain of sand. The white head is not pus, but rather a mass of dead cells and sebum. Treatment: Dermatologists and estheticians (in some states) extract milia by making a tiny incision on the lesion and carefully removing the sebaceous plug. Even without treatment, milia can work their way to the surface over time.
115
Open Comedones/Blackhead
Appearance: An open comedo, or blackhead, is easy to identify by its dark brown to black surface coloring. Development: A blackhead is an accumulation of dead skin cells and sebaceous matter within the follicle. It's top is not covered by a layer of dead skin cells, but instead is exposed to air. The black coloring is not dirt. Air causes the oil to darken, much like a sliced apple turns brown when exposed to air. Treatment: Blackheads can usually be extracted by applying gentle pressure to the breakout. Consistent, thorough cleansing reduces oiliness, which can help prevent the development of blackheads.
Microcomedones
Appearance: Although most acne sufferers have many Microcomedones, they are too small to be seen with the naked eye. Development: A microcomedo is the very beginning of an acne lesion. It occurs when the sebaceous duct and pore opening becomes blocked by excess sebum and dead skin cells. Every blemish begins as a microcomedo. Treatment: Treatment is similar to that of soft closed Comedones and involves reducing excess oil on the skin. Regular exfoliation helps avoid buildup of dead skin cells. Treating Comedones at this level helps prevent larger acne breakouts from occurring.
116
Inflamed acne
( Characterized by redness , itching , inflammation , secretion and sometimes pain )
Types of Inflamed Acne Blemishes

Papules
Appearance: A papule is a red and inflamed lesion on the skin's surface. It contains no pus or white head. Development: Papules result from a high break in the follicle wall, allowing cellular debris and bacteria to spill into the dermis. This break may occur when a pore becomes engorged with debris and oil, or is squeezed or otherwise irritated. A papule often progresses to a pustule. Treatment: Do not squeeze a papule or you may worsen the breakout. Most papules heal quickly and without scarring, as they are not deep lesions. Benzyl peroxide treatments may help prevent papules from occurring.
Pustules/Pimples
Appearance: A pustule is a typical pimple -- red and inflamed with a white head. They range in size from small to fairly large. Sometimes the brownish comedonal core can be seen as a cap on the pus head. Development: Pustules follow papules after white blood cells invade. The white cap on a pustule is pus, sebaceous matter and cellular debris. Treatment: Mild acne or occasional pustules can ordinarily be treated at home with benzoyl peroxide creams or cleansers. See your dermatologist if you have numerous pustules, if they are highly inflamed, or difficult to control. Although it's tempting, don't pop a pustule.
117
Nodules
Appearance: Nodules are large inflamed lesions that occur deep within the dermis. They feel like a hard, painful lump under the skin. Where papules occur at the surface, nodules occur deep within the skin. Development: A nodule occurs when the follicle wall ruptures deep within the dermis. Contaminated debris from the follicle empties into the dermis and infects adjoining follicles. A nodule is a severe form of an acne lesion. Treatment: Never squeeze or pick at a nodule. The infection is deep and the risk of scarring is high. If you are prone to nodular breakouts, see your dermatologist.
Cysts
Appearance: Cysts are very large, deep inflamed lesions. They feel like soft pus-filled lesion under the skin's surface. The most severe form of a pimple, cysts are very painful and scaring Development: Like nodules, cysts begin as a deep break in the follicle wall. A membrane develops around the infection in the dermis. As a cyst works its way to the surface, it damages healthy skin tissue, destroying the follicle. The likelihood of scarring is very high. Treatment: If you are prone to cystic breakouts, you must talk to your dermatologist. Treatment usually consists of topical and systemic medications.
118
Acne treatment
Purpose of acne treatment Scaring prevention Reduction of the number of lesions Minimizing embarrassment caused by acne Reducing acne flare up and pain sensation Clumps of cells in the follicle Oil production Bacteria Inflammation Proper cleansing ( superficial and deep cleansing ) Chemical peeling Topical bacterial treatment Systemic bacterial treatment Oral retinoid ( isotretenoins)
Acne treatment medication aims to reduce
Acne treatment lines
119
Patient education
Proper skin cleansing , once in the morning and once in the evening Physical scrubbing is not recommended as acne could get worse The skin should not be touched very often . people who squeeze , pinch , or pick their blemishes have high risk of scaring Men who have acne should use whether electric or safety razor as it is more comfortable . the blade should be sharp and the beard hair should be softened with soap and water befor shaving cream is applied Tanning should be avoided. Even though a tan may hide blemishes the benefits are temporary Choose cosmetics carefully. It must be oil free Use hair products that labeled non-comedogenic Avoid types of diet that make acne flare up
120
Products available at NMC Product Ingredient

AHA omega HA Zinc salts alpha bisabolol
Feature

EXFOLIAC Acnomega 100 cream
Control sebum Anti bacterial action Normalization of keratinization process anti inflammatory action Control sebum Anti bacterial action Normalization of keratinization process inflammatory Seboregulatory effect
Benefit

Used in mild to moderate acne prone skin Balance & clear the skin Enable pimple & black heeds elimination
Picture
EXFOLIAC Acnomega 200 cream
AHA Omega HA Zinc salts Alpha bisabolol
anti action
Used in strong to confirmed acne prone skin seboregulating & anti bacterial action Balance & clear the skin Enable pimple & black heeds elimination Used in moderate to severe acne prone skin for whole body face , chest , back follliculitis (ingroing hair ) of beard 3. pili incarnati Local care for inflammatory acne Occasional acne problem
EXFOLIAC Lotion 125 ML
AHA BHA Zinc salts alpha bisabolol
Control sebum Anti bacterial action Normalization of keratinization process inflammatory Seboregulatory effect Fight against pimples appearance Enable pimples elimination
anti action EXFOLIAC NC GEL 30 ML NIACINAMIDE 4% OR NICOTINAMID E
121
Product
Ingredient
Myrtacine Glycolic acid Salicylic acid Lactic acid Sabal Sereona Alphabisabolol Glycyrrheinate stearyl 2% salicylic acid 5% Polyhydroxy acids (PHAs)
Feature
Anti-bactrial acts on P.acnes & Soothes irritations
Benefit

Complete regulating cream Helps to clear blemishes and blackheads
Picture
DUCRAY Keracnyl Cream 30ml
Keratolytic effect ( AHA + BHA ) Sebum-reducing combination Anti-irritants It has Keratolytic , Seboregulatory anti infective action
Allows make-up to be applied and combats shine reduces spot size and redness in 4 hours
CLEARASIL
Rapid action treatment cream
2% salicylic acid AreaumatsTM
It has Keratolytic action Soothing and calming action
reduces spot size and redness in 4 hours
CLEARASIL
Rapid action treatment pads
122
Product
Ingredient

Salicylic acid sepicontrol A 5 Cedar wood Portulaca Allantoin & bisabolol copper & zinc
Feature

Keratolytic action sebo-regulating action Comedolitique Anti bacterial & fungus action ,Anti pruritic Anti inflammatory Reinforce immunity defense soothing action Repairing action
Benefit

RoC Purif-Ac blemish correction emulsion
Reduce imperfections & un clog the pores regulating sebaceous secretion Healing Reduce inflammation & protect the skin Soothes redness & inflammation Healing of marks left by spots
Picture
123
References
M EDICAL AND
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.
Beauty knowledge references

BEAUTY WEBSITES
Webmd.com Emedicinehealth.com Medicinenet.com Pgbeautygroomingscience.com Medscape.com http://dermnetnz.org/arthropods/headlice.html British association of dermatologists 1stholistic.com emedicine.medscape.com cosmeticscop.com beauty.about.com beautytech.com ewg.org/2010sunscreen/faqs-2010/#28 colipa.com (sun screen efficacy index ppd) cancerhelp.org.uk/help/default.asp?page=3007. Retrieved 2009-09-22.
Textbooks Skin type solution textbook by Leisel baumann Cosmetic ingredient dictionary Acne no more e book June 04, 2010 International Journal of Cosmetic Science Journal of cosmetic dermatology .volume 3 , issue 1 "Sun screen Preventing melanoma". Cancer Research UK. Comprehensive pharmacy review 2010 page 632 (sun screen) Journal of the American Academy of Dermatology, May 2006 Experimental Dermatology, August 2005, pages 601-608; Bioscience, Biotechnology, and Biochemistry Avram MM (December 2004). "Cellulite: a review of its physiology and treatment" Anderson, Laurence. 2006. Looking Good, the Australian guide to skin care, cosmetic medicine and cosmetic surgery. Alex Muniz. Exfoliation: The Secret To Healthy Skin. Retrieved on 2008-03-03. Bernstein, Eric. What Causes Stretch Marks?. 15 December 2008. The Patient's Guide to Stretch Marks. 10 Feb 2009
124
Product knowledge references

http;//www.Bioderma.com http;//www.vichy.com http;//www.exfoliac.com http;//www rocskincare.com http;//www. Olay.com http;//www.coppertone.com
125
Introduction Non pharma planogram Cosmeceuticals Cosmeceuticals planogram Skin care planogram The skin The skin definition Skin structure Skin types o Normal skin o Dry skin o Oily skin o Combination skin Skin care routine steps ( care steps ) Cleansing o Chapter objectives o Facial cleansing benefits o Cleansing sales benefits o Proper cleansing steps o Cleansers classification o Eye zone cleansing
Index
2 3 4 6 7 8 8 9 10 11 12 13 14 15 16
Customer education Cleansing products Exfoliation o Chapter objective o Exfoliation benefits o Exfoliation types Physical ( mechanical ) exfoliation Facial masks Action Types Usage instructions Chemical exfoliation o Exfoliation sales benefits Customer education Exfoliation products Moisturization o Chapter objectives o Dry skin definition o Symptoms of dry skin o Causes of skin dryness o Skin dryness treatment plan Customer education
21 22 29
36 37 40
45
126
Moisturization products Sun care ( Sun screen ) o Chapter objectives o Sun care planogram o Normal solar radiation o Effect of ozone , clouds and dust on sun rays o Effect of sun radiation on skin o Normal protection barrier o Artificial photo protection o Sun protection importance o What is sun screen ? o Classification of sun rays filters o Photo protection efficacy index Customer education Sun screen products Sun care ( Tanning ) o Tanning mechanisms o Tanning types Customer education Tanning products Sun care ( Sun burn ) o Sun burn care Patient education Sun burn products Skin care therapeutic steps (Cure steps ) Hyperpigmintation o Chapter objectives o Definition o Etiology o Melanocyte o Melanin o Melanin synthesis o Phases of pigmentation development o Steps of pigmentation o Causes of pigmentation o Principles of melasma therapy o How to choose proper whitening product ? o How to deal with Hyperpigmintation cases ? o Sites of pigmentation Whitening products Ageing ( Wrinkles ) o Chapter objectives o Definition o Wrinkle formation stages o Seven signs of ageing o Wrinkle causes o Lines of treatment of wrinkles
46 53
63 64 69
70 71 72 73 74 75 76
87 91
127
o Wrinkles treatment plan Anti wrinkles products Cellulite o Definition o Cellulite occurrence factors o Cellulite formation o Cellulite treatment Anti cellulite products Stretch mark o Chapter objectives o What are they ? o Why don't they heal over time? o Idea of stretch mark products Anti stretch mark products Acne o Chapter objectives o Definition o How do acne and scars develop ? o Acne causes o Acne terminology White heads Black heads Pustules and nodules Cysts Comedones o Acne types Non inflamed acne Soft closed Comedones Hard closed Comedones Open Comedones Micro Comedones Inflamed acne Papules Pustules Nodules Cysts o Acne treatment Patient education Anti acne products
97 101
105 106
109 111
120 121
128

Beauty Guide - Skin Care

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Beauty Guide - Skin Care

Uploaded by

Copyright:

Available Formats

BEAUTY GUIDE Skin care

First Edition V1.12.10

How to use this book ?

Training and development department

None pharma planogram

Non pharma category

Body odour control

Corn and callus

Body hair care

Blood pressure meter

Hair care devices

Physical birh control

Dental care apparatus

Varicose vein care

Training and development department

Training and development department

What are Cosmeceuticals ?

Factors Affecting Selection Of The Proper Cosmeceutical product

Training and development department

Body odour control

Cleansing Peeling Moisturization Sun care

Training and development department

Skin care planogram

Training and development department

The skin Reflect :

Training and development department

Skin structure diagram

Training and development department

Oily skin Dry skin

Each person's skin is unique and is a natural combination of three factors:

Training and development department

Training and development department

Training and development department

Causes of Oily Skin

Training and development department

Training and development department

Skin care planogram

Training and development department

Skin care Care steps

Training and development department

Training and development department

Proper facial cleansing steps

Training and development department

Choosing The Proper cleanser

Training and development department

Training and development department

Training and development department

Cleansing products available at NMC product

Glycerin Panthenol Beta Sitosterol

RoC Enydrial Face cleansing lotion

Soap free cleansing agents glycerin Emollient agents Panthenol

RoC Enydrial foaming gel

soap free cleansing agents

Glycerin Panthenol Beta Sitosterol

Training and development department

RoC Purif-ac cleanser

1%salyci lic acid)

RoC Calmance cleansing lotion

RoC eye makeup remover

Remove impurities and make up of eye

Roc skin toner

Remove deep impurities Tighten the pores Remove residuals of cleansers

give healthy clean skin